wk11- shared decision making

Question 1

what is shared decision making?

Answer 1

the patient and the health professional collaborate and jointly make decisions about the patient’s health care.

Question 2

how does evidence based practice collaborate with shared decision making

Answer 2

Shared decision making provides a process for explicitly bringing evidence into a consultation and discussing it with the patient. Through evidence-informed deliberations, patients construct informed preferences.

Question 3

the importance of and benefits of shared decision making

Answer 3

decision aids assist patients to have a greater knowledge of their options, feel more informed, have more realistic expectations of possible benefits and harms, and make choices which better reflect their personal values and preferences, with no adverse effects on health outcomes or satisfaction. They also increase patient communication with health professionals, and participation in collaborative decision making, and reduce decisional conflict.

Question 4

steps in shared decision making process 7

Answer 4

1. explaining the problem and the need for a decision;
2. inviting the patient’s engagement;
3. explaining the options, and the benefits and harms of each;
4. exploring the patient’s preferences and values;
5. clarifying understanding and answering questions;
6. engaging in collaborative deliberation and consensus building; and
7. making or explicitly deferring the decision.

Question 5

challenges in shared decision making 3

Answer 5

-availability of evidence
-patients involvement in shared decision making
-patients choosing opposing decisions to health professionals

Question 6

communicating statistical information to patients can lead to what?

Answer 6

patients understand probably and risk differently to health professionals. health professionals look at it within a whole population whereas patients think its only to do with their risk and. probability. for example 20% Probability means 20 out of 100 people experience it, not 20% chance an individual will experience it

Question 7

problem with verbal statistical information compared to numerical

Answer 7

patients underestimate the risk with verbal explanations and it is recommended that natural frequencies or percentages are used also

Question 8

how should health professionals frame the statistics, positively or negatively

Answer 8

both

Question 9

what to consider when presenting statistical information to patients

Answer 9

using numbers not just words
framing both positively and negatively
using visuals
consider different ages/time frames and social factors
be open
less is more with information
use absolute risk rather than relative risks
and present natural frequencies

Question 10

verbal communication principles and limitation

Answer 10

most people forget a quarter of what they get verbally told

-important info first
-full attention
-consistent simple clear terms
-have them repeat info

Question 11

combination of verbal and written information

Answer 11

maximises patients knowledge, better recall

Question 12

written information

Answer 12

-needs to be easily understood

Question 13

choosing a communication format will be done by considering ….

Answer 13

patients preference
patients literacy level
patients cognitive ability and impairments
tools available

Question 14

what makes up shared decision making

Answer 14

evidence based practice and patient centred communication